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Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. | PSNet

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March 09, 2022 - Study Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. Citation Text: Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeo…

The role of organizational and professional cultures in medication safety: a scoping review of the literature. | PSNet

psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature

February 12, 2020 - Review The role of organizational and professional cultures in medication safety: a scoping review of the literature. Citation Text: Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety: a scoping review of the literature. Int J Hea…

Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. | PSNet

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November 16, 2022 - Commentary Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. Citation Text: Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conc…

Improving self-reported empathy and communication skills through harm in healthcare response training. | PSNet

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March 09, 2022 - Study Improving self-reported empathy and communication skills through harm in healthcare response training. Citation Text: Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk …

Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. | PSNet

psnet.ahrq.gov/issue/handoff-mnemonics-used-perioperative-handoff-intervention-studies-systematic-review

November 16, 2022 - Review Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. Citation Text: Patel SM, Fuller S, Michael MM, et al. Handoff mnemonics used in perioperative handoff intervention studies: a systematic review. Anesth Analg. 2024;Epub Nov 26. doi:10.1213/a…

Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. | PSNet

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October 31, 2023 - Commentary Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. Citation Text: Gallagher R, Passmore MJ, Baldwin C. Hastened death due to disease burden and distress that has not received timely, quality palliative ca…

Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool. | PSNet

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February 15, 2023 - Study Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool. Citation Text: Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatr…

Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event

May 19, 2021 - Study Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest eve…

The critical incident technique. | PSNet

psnet.ahrq.gov/issue/critical-incident-technique

January 07, 2015 - Study Classic The critical incident technique. Citation Text: FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

Automated search methods for identifying wrong patient order entry-a scoping review. | PSNet

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June 14, 2023 - Study Automated search methods for identifying wrong patient order entry-a scoping review. Citation Text: Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057. Copy C…

Using Lean to improve medication administration safety: in search of the "perfect dose." | PSNet

psnet.ahrq.gov/issue/using-lean-improve-medication-administration-safety-search-perfect-dose

September 16, 2015 - Study Using Lean to improve medication administration safety: in search of the "perfect dose." Citation Text: Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204. C…

Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. | PSNet

psnet.ahrq.gov/issue/development-and-usability-testing-agency-healthcare-research-and-quality-common-formats

October 12, 2022 - Study Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. Citation Text: Bradford A, Shahid U, Schiff GD, et al. Development and usability testing of the Agency for Healthcare Research and Quality Common …

Inter-hospital transfer is an independent risk factor for hospital-associated infection. | PSNet

psnet.ahrq.gov/issue/inter-hospital-transfer-independent-risk-factor-hospital-associated-infection

August 26, 2011 - Study Inter-hospital transfer is an independent risk factor for hospital-associated infection. Citation Text: Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital-associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:…

Physician perspectives on addressing anti-Black racism. | PSNet

psnet.ahrq.gov/issue/physician-perspectives-addressing-anti-black-racism

July 26, 2023 - Study Physician perspectives on addressing anti-Black racism. Citation Text: Brown CE, Marshall AR, Cueva KL, et al. Physician perspectives on addressing anti-Black racism. JAMA Netw Open. 2024;7(1):e2352818. doi:10.1001/jamanetworkopen.2023.52818. Copy Citation Format: DOI…

How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? | PSNet

psnet.ahrq.gov/issue/how-valid-icd-9-cm-based-ahrq-patient-safety-indicator-postoperative-venous-thromboembolism

April 03, 2017 - Study How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? Citation Text: White RH, Sadeghi B, Tancredi DJ, et al. How Valid is the ICD-9-CM Based AHRQ Patient Safety Indicator for Postoperative Venous Thromboembolism? Med Care. 2009;4…

Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. | PSNet

psnet.ahrq.gov/issue/referrals-infection-control-breaches-public-health-authorities-ambulatory-care-settings

December 09, 2020 - Study Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. Citation Text: Braun B, Chitavi SO, Perkins KM, et al. Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. J…

Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. | PSNet

psnet.ahrq.gov/issue/inappropriate-dosing-direct-oral-anticoagulants-patients-atrial-fibrillation

August 04, 2021 - Study Emerging Classic Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. Citation Text: Sugrue A, Sanborn D, Amin M, et al. Inappropriate dosing of direct oral anticoagulants in patients with atrial fibrillation. Am J Cardi…

Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. | PSNet

psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act-cycle-fidelity

March 17, 2014 - Study Emerging Classic Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. Citation Text: McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to …

Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. | PSNet

psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process

May 29, 2019 - Study Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Citation Text: Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care…

Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. | PSNet

psnet.ahrq.gov/issue/can-medical-students-identify-potentially-serious-acetaminophen-dosing-error-simulated

March 30, 2011 - Study Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. Citation Text: Dudas RA, Barone MA. Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? a case control…

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